LUIS T MENENDEZ MD PA
NPI 1952331860
Dermatology in Tampa, FL

Active since July 04, 2006
3011 W SWANN AVE, TAMPA, FL 33609(813) 879-8436(813) 878-2405 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luis T Menendez Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS T MENENDEZ MD PA (NPI 1952331860) is a healthcare organization registered as a dermatology in Tampa, Florida and active in the NPI registry since July 2006. The organization lists Luis Terry Menendez, President, as its authorized official.

NPPES Registry Identity

NPI1952331860
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLUIS T MENENDEZ MD PA
Location Address3011 W SWANN AVETampa, FL 33609-4059
Mailing Address3011 W Swann AveTampa, FL 33609-4059 · (813) 879-8436 · Fax (813) 878-2405
Fax(813) 878-2405
Organization SubpartNo
Authorized OfficialLuis Terry MenendezPresident · (813) 879-8436
Enumeration DateJuly 4, 2006
Last NPPES UpdateNovember 8, 2007
✔ NPI 1952331860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · 24434
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3011 W SWANN AVE, Tampa, FL 33609

Other Identifiers 7

Other406073185FL · Railroad Medicare
Other3211253FL · Aetna
Medicare ID-Type Unspecified71986FL · Medicare Provider
Medicare PINPENDINGFL
Other10D0290339FL · Clia
Medicare UPIND58270FL
Medicaid204969400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis T Menendez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20071031000191Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luis T Menendez MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1871536615
3011 W SWANN AVE
Tampa, FL 33609
(813) 879-8436
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis T Menendez MD PA's NPI number?

The NPI number for Luis T Menendez MD PA is 1952331860. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Luis T Menendez MD PA located?

Luis T Menendez MD PA is located at 3011 W Swann Ave, Tampa, FL 33609. The listed phone number is (813) 879-8436.

What is Luis T Menendez MD PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Luis T Menendez MD PA enrolled in Medicare?

Yes. Luis T Menendez MD PA is registered in the Medicare PECOS enrollment system.

When is Luis T Menendez MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Luis T Menendez MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Luis T Menendez MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luis T Menendez MD PA was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.